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NCLEX-LPN > NCLEX-LPN _ BURNS > Flashcards

NCLEX-LPN _ BURNS Flashcards

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1
Q

WHAT SHOULD WATER TEMP BE SET AT TO PREVENT BURNS FOR ELDERLY AND CHILDREN ?

A

NO HIGHER THAN 120 DEGREE F.

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2
Q

WHY DOES PLASMA LEAK INTO SURROUNDING TISSUE AFTER A BURN ?

A

INCREASED CAPILLARY PERMIABILITY

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3
Q

WHEN DOES THE MAJORITY OF VASCULAR SEEPAGE INTO SURROUNDING TISSUES OCCURE AFTER A BURN ?

A

FIRST 24 HOURS

WATCH FOR SHOCK

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4
Q

AFTER A BURN, WHY DO THE FOLLOW PHYSIOLOGICAL CHANGES OCCUR ?

  • INCREASED PULSE
  • DECREASED CARDIAC OUTPUT
  • DECREASED URINE OUTPUT
A

REACTION TO FVD

PLASMA SEEPING INTO SURROUNDING TISSUE, BODY TRYING TO MAINTAIN VOLUME AND PRESSURE

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5
Q

WHY IS ADH SECRETED AFTER A BURN ?

A

RETAIN WATER BY NOT URINATING TO MAINTAIN VOLUME AND PRESSURE

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6
Q

WHY IS ALDOSTERONE SECRETED AFTER A BURN ?

A

RETAIN WATER AND SODIUM TO MAINTAIN VOLUME AND PRESSURE

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7
Q

WHAT IS THE TREATMENT FOR A BURN ?

A
  • STOP THE BURN PROCESS
  • COOL NO MORE THAN 10 MINUTES
  • REMOVE JEWELRY
  • COVER
  • TREAT FOR SHOCK
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8
Q

WHAT IS THE #1 CAUSE OF DEATH IN RELATION TO BURN ACCIDENTS ?

A

INHALATION INJURY

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9
Q

WHAT ARE THE TWO MOST COMMON CAUSES OF INHALATION INJURY / DEATH ?

A

CARBON MONOXIDE / HYDROGEN CYANIDE

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10
Q

WOULD A PERSON WHO EXPERIENCED AN INHALATION INJURY / ACCIDENT BE AT A GREATER OR LESSER RISK OF EXPOSURE SEVERITY IN AN ENCLOSED SPACE?

A

GREATER SEVERITY DUE TO HIGHER CONCENTRATION IN AN ENCLOSED SPACE

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11
Q

WHAT A PRIMARY HEALTHCARE PROVIDER DO TO A PATIENT WHO HAS BEEN BURNED ON THIER FACE, NECK AND CHEST ?

A

INTUBATE TO PROTECT THE AIRWAY

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12
Q

WHAT ARE THE FOLLOWING S/S OF ?

  • SINGED NOSE / FACIAL HAIR
  • SOOT ON FACE
  • COUGHING UP DARK / BLACK SECRETIONS
  • DIFFICULTY SWALLOWING
  • WHEEZING / HORESNESS
  • BLISTERS AROUND THE MOUTH
  • ACCESSORY MUSCLE BREATHING WITH STRIDOR
A

INHALATION INJURY

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13
Q

IF A BURN PATIENT’S BREATHING IS SHALLOW, WHAT ARE THE Y RETAINING ?

WHAT ACID BASE IMBALANCE WOULD THEY HAVE ?

A

RETAINING CO2

RESPIRATORY ACIDOSIS

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14
Q

HOW SHOULD SYSTEMIC ABX THERAPY BE MANAGED FOR A BURN PATIENT ?

A

BROAD SPECTRUM ABX ONLY USED UNTIL WOUND CULTURE AND SENSITIVITY RESULTS HAVE BEEN REPORTED TO PREVENT SUPER INFECTIONS or ABX RESISTANT BACTERIA

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15
Q

WHAT LABS VALUES SHOULD BE MONITORED WHEN TREATING A PATIENT WITH MYCIN ABX ?

A

CREATININE / BUN

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16
Q

WHY IS THE INCREASE IN CREATININE and/or BUN IN A PATIENT BE TREATED WITH A MYCIN ABX ?

A

CAN LEAD TO OTOTOXICITY and/or NEPHROTOXICITY

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17
Q

WHAT CAN BE USED AS A TOPICAL TREATMENT FOR BURNS THAT PROVIDES A UNIFORM AMOUNT OF ________ PROVIDING BROAD SPECTRUM ANTIMICROBIAL EFFECTS ?

A

SILVER IMPREGNATED DRESSINGS

18
Q

HOW LONG CAN SILVER IMPREGNATED DRESSING BR LEFT IN PLACE ?

A

3 - 14 DAYS DEPENDING ON THE CLINICAL SITUATION

19
Q

WHY IS IMPORTANT TO CHECK A BURN PATIENT FOR SULFATE ALLERGIES PRIOR TO USING ANTIMICROBIAL CREAMS ?

A

MANY CONTAIN SULFATES

20
Q

WHAT CLINICAL PRACTICE IS CRITICAL IN WHEN TREATING BURN PATIENTS ?

A

ASEPSIS

21
Q

HOW DO YOU APPLY A TOPICAL AGENT TO A BURN ?

A

THIN LAYER USING STERILE GLOVES AND APPLICATOR

22
Q

SUTILAINS (TRAVASE) and/or COLLAGENASE (SANTYL) ARE EXAMPLES OF WHAT TYPE OF TOPICAL AGENTS ?

A

ENZYMATIC DEBRIBEMENT AGENTS

23
Q

DO NOT USE ENZYMATIC DEBRIDEMENT AGENTS ON …….. ?

A
  • FACE
  • PREGNANT
  • OVER LARGE NERVES
  • BODY AREAS OPEN TO CAVITIES
24
Q

WHERE ARE AUTOGRAFTS OBTAINED FROM ?

A

FROM PATIENT’S OWN HEALTHY DONOR SITE

25
Q

IN A WELL NOURISHED HEALTHY PATIENT, HOW SOON CAN A DONOR HARVEST SITE BE RE-HARVESTED ?

A

12 - 14 DAYS

26
Q

WHAT WILL HAPPEN TO A BURN PATIENT’S CALORIC NEEDS ?

A

THEY WILL GO UP

27
Q

HOW LONG POST BURN SHOULD A BURN PATIENT’S CALORIC NEEDS BE ADJUSTED ?

A

1 -2 DAYS POST BURN

28
Q

WHAT TWO DIETARY SUBSTANCES ARE VITAL TO PROMOTING HEALING IN A BURN PATIENT ?

A

PROTEIN / VITAMIN C

29
Q

WHAT SPECIFIC LAB WORK WOULD YOU LOOK AT TO ENSURE PROPER NUTRITION AND A POSITIVE NITROGEN BALANCE IN A BURN PATIENT ?

A

PREALBUMIN

30
Q

HOW OFTEN IS AN IN DWELLING CATHETER CHECKED FOR A BURN PATIENT ?

A

EVERY HOUR

31
Q

WHY IS IT POSSIBLE TO NOT SEE ANY URINE FLOW WHEN PLACING A CATHETER FOR A BURN PATIENT?

A

KIDNEYS ARE RETAINING FLUID TO MAINTAIN CIRCULATORY PRESSURE or THEY ARE NOT BEING PERFUSED.

32
Q

WHAT DRUG IS GIVEN TO A BURN PATIENT TO HELP FLUSH THE KIDNEYS ?

A

MANITOL

33
Q

KIDNEY FAILURE CAN RESULT IF THERE IS NO URINE FLOW or IF URINE OUTPUT IS LESS THAN ___________ ?

A

30mL / HR

34
Q

AFTER ABOUT 48 HOURS, A BURN PATIENT WILL BEGIN TO DIURESE.

WHY ?

A

FLUID VOLUME IS BEGINNING TO RETURN TO THE VASCULAR SYSTEM.

35
Q

ONCE FLUID BEGINS TO RETURN TO THE VASCULAR SYSTEM AFTER ABOUT 48 HOURS IN A BURN PATIENT, WHAT IS A SECONDARY CONDITION TO BE CAUTIOUS OF ?

A

FLUID VOLUME OVER LOAD

36
Q

WHAT ELECTROLYTE IMBALANCE ARE BURN PATIENTS AT RISK FOR ?

A

HYPERKALEMIA

37
Q

WHY ARE BURN PATIENTS AT RISK FOR HYPERKALEMIA ?

A

CELLS LYSE DURING BURN PROCESS RELEASING INTERNAL CONTENTS CONTAINING HIGH LEVELS OF POTASSIUM. SERUM POTASSIUM LEVELS INCREASE AS URINE OUTPUT DECREASES.

38
Q

WHAT GI ISSUES CAN OCCURE IN BURN PATIENTS ?

A

STRESS ULCERS

39
Q

WHAT IS ANOTHER NAME FOR A STRESS ULCER ?

A

CURLING’S ULCER

40
Q

WHY WOLD THE FOLLOWING MEDICATIONS BE GIVEN TO A BURN PATIENT ?

  • MAGNESIUM CARBONATE (GAVISCON)
  • PANTAPROZOLE (PROTONIX)
  • FAMOTIDINE (PEPCID)
A

TO PREVENT STRESS / CURLING’S ULCERS

41
Q

WHY WOULD A PCM HAVE A BURN PATIENT NPO AND HAVE AN NG TUBE CONNECTED TO SUCTION ?

A

PATIENT CAN DEVELOPE A PARALYTIC ILEUS

NCLEX-LPN (2 decks)

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